原发性感染肾移植的治疗体会

M. Khubutiya, D. Lonshakov, A. Balkarov, Y. Anisimov, N. Shmarina, N. V. Zagorodnikova, V. O. Aleksandrova, I. V. Dmitriev
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摘要

介绍。感染并发症导致移植物和受体存活率显著降低。本文报道一例原发性感染肾移植。材料和方法。一例33岁1型糖尿病合并终末期肾病患者行肾移植手术。死亡供体为一名46岁男性,经证实因急性脑血管事故导致脑死亡。结果。术后早期因肾移植原发感染的发展而变得复杂。尽管正在进行的治疗旨在保留移植,但为了防止进一步的并发症,我们不得不将其切除。结论。肾移植可改善终末期肾病患者的生活质量。初次感染的移植物移植后,如果感染过程无法控制,由于移植物本身就是感染源,为了挽救受者的生命,需要及时进行移植物切除术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience in the treatment of a primary infected kidney transplant
Introduction. Infectious complications contribute to a significant decrease in graft and recipient survival rates. The article describes a case report of transplantation of the primary infected kidney transplant. Material and methods. A 33-year-old patient with type 1 diabetes mellitus and end-stage renal disease underwent kidney transplantation. The deceased donor was a 46-year-old man with a confirmed brain death as a result of acute cerebrovascular accident. Results. The early postoperative period was complicated by the development of primary infection of kidney transplant. Despite the ongoing treatment aimed at preserving the transplant, we had to remove it in order to prevent the development of further complications. Conclusion. Kidney transplantation improves the quality of life of patients with end-stage renal disease. In case of uncontrolled course of the infectious process after primary infected graft transplantation, it is necessary to perform transplantectomy in a timely manner in order to save the recipient’s life, since the graft itself is the source of infection.
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